| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,669 |
33,168 |
$2.42M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,031 |
15,081 |
$1.66M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,130 |
19,292 |
$1.05M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,421 |
8,691 |
$882K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,193 |
7,891 |
$841K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,335 |
3,223 |
$339K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,960 |
5,792 |
$315K |
| 99429 |
|
17,023 |
11,432 |
$259K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,532 |
3,402 |
$205K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,142 |
1,095 |
$125K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,859 |
2,640 |
$109K |
| 97802 |
|
16,914 |
16,237 |
$84K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15,153 |
14,588 |
$76K |
| 80061 |
Lipid panel |
3,987 |
3,811 |
$72K |
| 85018 |
|
16,498 |
15,873 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,226 |
3,080 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,806 |
2,911 |
$47K |
| 87634 |
|
529 |
514 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,012 |
970 |
$30K |
| 99051 |
|
1,112 |
1,066 |
$22K |
| 96161 |
|
5,434 |
5,166 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
845 |
769 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,725 |
1,637 |
$17K |
| 99050 |
|
568 |
517 |
$13K |
| 96127 |
|
2,149 |
2,017 |
$11K |
| 96160 |
|
2,567 |
2,477 |
$9K |
| 83655 |
|
465 |
441 |
$5K |
| 0071A |
|
128 |
119 |
$5K |
| 0072A |
|
85 |
82 |
$3K |
| 99188 |
|
184 |
173 |
$3K |
| 99383 |
|
24 |
24 |
$3K |
| 99173 |
|
11,410 |
10,955 |
$2K |
| 99177 |
|
2,117 |
2,054 |
$2K |
| 92551 |
|
12,238 |
11,759 |
$916.12 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
16 |
$755.52 |
| 0002A |
|
18 |
18 |
$640.00 |
| 0001A |
|
14 |
14 |
$560.00 |
| 94760 |
|
949 |
904 |
$362.09 |
| 87807 |
|
16 |
16 |
$281.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$259.24 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,166 |
1,118 |
$240.02 |
| 90686 |
|
5,213 |
4,994 |
$234.44 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
162 |
161 |
$196.50 |
| 36415 |
Collection of venous blood by venipuncture |
111 |
104 |
$113.00 |
| 99000 |
|
1,586 |
1,528 |
$40.00 |
| 90670 |
|
5,235 |
5,026 |
$21.93 |
| 90688 |
|
1,035 |
1,017 |
$18.09 |
| 36416 |
|
22,838 |
21,482 |
$11.84 |
| 90677 |
|
297 |
290 |
$10.00 |
| 90723 |
|
3,048 |
2,934 |
$0.00 |
| 90651 |
|
98 |
92 |
$0.00 |
| 90647 |
|
3,191 |
3,062 |
$0.00 |
| 90656 |
|
51 |
49 |
$0.00 |
| 90716 |
|
128 |
118 |
$0.00 |
| 90674 |
|
144 |
138 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90633 |
|
773 |
744 |
$0.00 |
| 90681 |
|
976 |
945 |
$0.00 |
| 90707 |
|
169 |
159 |
$0.00 |
| 90734 |
|
40 |
40 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90700 |
|
85 |
82 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |